Individual provider · Type 1 NPI

William Gallagher, CASAC-T, CRPA

Addiction (Substance Use Disorder) Counselor · Deer Park, NY

NPI number 1720836984 Active

Practice location

770 Grand Blvd Ste 17
Deer Park, NY 11729-5725

Call (631) 919-7294 Map

Mailing address

5616 Seabury St Apt 1C
Elmhurst, NY 11373-4868

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist 175T00000XCRPA-5510 (NY)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X38573 (NY)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1720836984

William Gallagher, CASAC-T, CRPA's National Provider Identifier is 1720836984, issued on May 10, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Deer Park, NY. The record was last updated on May 10, 2024.